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International Journal of Bioprinting                          Biomechanical properties of 3D printable material



            mimic the biomechanical properties of a human aorta.   Table 1. RGD450+TangoPlus material printed with different
            These synthetic materials are not biocompatible. Therefore,   shore hardness and thicknesses
            phantoms were used to carry out the biomechanical study   Thickness of RGD450+TangoPlus material (mm)
            and  simulation.  Two  groups  of  materials  were  tested:
            thermoplastic polyurethane and rubber-like materials.  70 SH                  2
                                                                60 SH                     2
            2.1.1. Thermoplastic polyurethane                   50 SH    2        2.5       3        3.5
            Two thermoplastic polyurethane materials, NinjaFlex   40 SH  2.5      3         3.5      4
            (Fenner Inc., Manheim, USA) and Filastic  (Filastic
                                                 TM
            Inc., Jardim Paulistano, Brazil) were provided by Dijon
            3D Company (Dijon, France). The NinjaFlex material was   2.2. Method
            printed at a temperature of 225°C–235°C. Heating plates   The aortic wall sample from a healthy patient was preserved
            were not required during printing. The printing speed was   in phosphate-buffered saline during the transfer from the
            15–35 milliseconds per meter. The MakerBot (MakerBot   autopsy room to the laboratory for tensile experiment. Due
            Industries, USA) 3D printer equipped with a Thingiverse   to the regional differences in biomechanical properties of
                                                                          [12]
            driver block (MakerBot Industries, USA) was dedicated   the aortic wall , the samples were cut into smaller square
            to NinjaFlex printing. The machine was kept at a strict   samples (15 mm × 15 mm) in order to mimic standard equi-
            horizontal position during the printing process. In order   biaxial experiments on aortic tissue. The average thickness
            to minimize printing errors (within 0.05 mm), the 3D   was measured using an electronic micrometer (Litematic
            printing machine was adjusted by a standard scale. The   VL-50, Mitutoyo®, Japan) before loading. Each aortic
            diameter of the original material was 1.75 mm, with 85   specimen was  labeled  according  to their  circumferential
            shore hardness (SH). For experimental purposes, different   and longitudinal directions with respect to the blood flow
            thicknesses of NinjaFlex material were printed, ranging   in the aorta. Biomechanical experiments were carried out
            from 0.2 mm to 1.8 mm in 15 mm × 15 mm squares. Due   using a biaxial tensile test machine (LM1 Planar Biaxial,
            to printing process issues and low thickness managements,   TA Instruments, USA, Figure 3). The preconditioning was
            samples ranging in thickness from 0.2 mm to 0.7 mm were   set to 10% of the experimental sample length (10 mm),
            excluded in this study. Phantoms from the second material,   with 10 loading-unloading repetitions.
            the 85-SH Filastic , were printed at a nozzle temperature   Only uniaxial tests were performed on the thermoplastic
                          TM
            of 220°C–240°C. A heating plate was necessary for   polyurethane material due to its isotropic behavior during
            printing, and the heating stability should be 100°C–110°C.   the printing process, whereas biaxial tensile tests were
            During the printing process, the distance between the gear   performed on the healthy human aorta and the rubber-like
            and the printing tube was controlled to be constantly less   material. All tensile tests were repeatedly performed, and
            than 5 mm. The thickness interval of the material could   surgical hooks were used to secure the connection between
            only be controlled within 0.05 mm due to the material’s   the sample and the system. Only one result per material
            characteristics.  Different  thicknesses  of  Filastic   were   per thickness was preserved in our study: the one with the
                                                    TM
            printed, ranging from 0.5 mm to 0.85 mm in 40 mm ×   smoothest stress–strain curve.
            40 mm squares.
                                                                  The maximum Young’s modulus, also known as the
            2.1.2. Rubber-like material (RGD450+TangoPlus)     elastic modulus, was calculated for the evaluation of sample
            RGD450+TangoPlus is an advanced rubber-like material   stiffness . The printed material was studied according to
                                                                     [25]
            that can be printed with a smooth surface by ENNOIA   three parameters: thickness, the maximum value of Young’s
            Company (Besançon, France) using the Connex3       modulus, and the stress–strain curves.
                                                        TM
            Object500 3D printer (Stratasys Ltd. , Israel). It is a
                                           ©
            composite material of RGD450 and TangoPlus (Stratasys   3. Result
            Ltd. , Israel). Materials of different shore hardness were   3.1. Thickness and maximum Young’s modulus
               ©
            printed and tested (Table 1). Although the size of the   There was a difference between the expected printed
            printed RGD450+TangoPlus specimens was 40 mm  ×    thickness and the experimentally measured thickness
            40  mm, the size of the tested RGD450+TangoPlus    (Tables 3 and  4). Nevertheless, the maximum Young’s
            specimens was only 15 mm × 15 mm.  Figure 2 shows   modulus was compared among materials.
            the printed RGD450+TangoPlus specimens. The tested
            specimens maintained directional consistency during   3.1.1. Human aorta
            testing. The direction was fixed according to the biaxial test   The aortic wall had a mean thickness of 1.49 ± 0.34 mm.
            system and was defined as A and B.                 The mean failure stress and maximum Young’s modulus


            Volume 9 Issue 4 (2023)                        304                         https://doi.org/10.18063/ijb.736
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